Melanie Smith, MD
Otolaryngology · North Little Rock, ARNPI 1407854151
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 12 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 9 manufacturers reported payments, led by Medtronic at 29.8% of the total. 2025 is the largest year on record at $170, 5.2 times the $33 reported in 2019. That places this record below the midpoint for otolaryngology clinicians in AR, where the typical reported total is $742.
Across 12 payments — averaging $33.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$119
- Stryker$118
- Olympus America Inc.$33
- Puma Biotechnology, Inc.$30
- Kaleo, Inc.$28
- Genentech USA, Inc.$21
- plus $52 from 3 others
What the payments were for
- Food & beverage$401100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Medtronic | 1 | $119 |
| Stryker | 3 | $118 |
| Olympus America Inc. | 1 | $33 |
| Puma Biotechnology, Inc. | 2 | $30 |
| Kaleo, Inc. | 1 | $28 |
| Genentech USA, Inc. | 1 | $21 |
| Merck | 1 | $19 |
| Intersect ENT, Inc. | 1 | $17 |
| AbbVie | 1 | $16 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$401 in reported general payments places this provider in the 35th percentile of 72 otolaryngology providers in Arkansas.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Omeprazole | 152 | $2,536 |
| CefuroximeCefuroxime Axetil | 62 | $2,116 |
| Pantoprazole Sodium | 90 | $1,527 |
| Ofloxacin | 20 | $1,294 |
| Ipratropium Bromide | 46 | $1,229 |
| Azelastine Hcl | 38 | $819 |
| Fluticasone Propionate | 71 | $642 |
| Prednisone | 79 | $613 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 27 | $334 |
| Latanoprost | 14 | $209 |
| Famotidine | 18 | $202 |
| Levofloxacin | 16 | $166 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 12 | $101 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 13 | $51 |
| Methylprednisolone | 12 | $43 |
Paid to pharmacies, not to this prescriber.
Other otolaryngology in North Little Rock
- David CashNorth Little Rock$84
- Patricia BellHarrison$82K
- Cory VaughnSpringdale$7K
- Jeffrey KirschConway$6K
- Patrick FraleyConway$5K
- Sharon TomaskiEl Dorado$5K
- Tyler BoneJonesboro$5K
- Rafael MarreroConway$4K
- Matthew BridgesRogers$4K
- Michael MarshFort Smith$4K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.